Behavioral
Hostos Medical Services INC
Hostos Medical Services INC was paid $229K by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 28% of everything it billed.
33Billing provider infoHOSTOS MEDICAL SERVICES INC
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1831390004assigned 05/29/2007
33bProvider typeClinical Social Worker
28Total paid$229K
24GClaims67,971
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Puerto Rico
Rank by total paid#2 of 33
Median peer was paid$576.31
This provider vs. median397×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,601 | $6K | |
| 2019 | 9,083 | $18K | |
| 2020 | 3,655 | $4K | |
| 2021 | 4,902 | $10K | |
| 2022 | 6,559 | $11K | |
| 2023 | 15,727 | $33K | |
| 2024incomplete | 22,444 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 28% | 1,259 | 880 | $65K |
| 96160 | 14% | 907 | 882 | $32K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 22,778 | 19,174 | $31K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13% | 3,498 | 2,492 | $30K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 9.1% | 1,938 | 1,400 | $21K |
| 99050 | 5.5% | 13,484 | 11,963 | $13K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.5% | 1,622 | 1,162 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.2% | 1,479 | 1,054 | $5K |
| 99441 | 1.8% | 4,191 | 3,430 | $4K | |
| 90715 | 1.5% | 229 | 134 | $3K | |
| 90656 | 1.1% | 395 | 315 | $2K | |
| 0012A | <1% | 129 | 105 | $2K |
58 more codes
| 0011A | <1% | 197 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 754 | $2K |
| 90677 | <1% | 215 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 271 | $1K |
| 99442 | <1% | 480 | $998.30 | |
| 90716 | <1% | 330 | $812.41 | |
| 90686 | <1% | 60 | $801.95 | |
| 90707 | <1% | 334 | $381.42 | |
| 90474 | <1% | 112 | $366.00 | |
| 0013A | <1% | 13 | $360.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $331.66 |
| 90473 | <1% | 53 | $192.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 61 | $166.37 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,308 | $159.85 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 424 | $77.57 |
| 96127 | <1% | 281 | $50.80 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 756 | $31.00 |
| 90670 | <1% | 62 | $16.09 | |
| 99443 | <1% | 45 | $1.50 | |
| 90649 | <1% | 432 | $0.16 | |
| 90634 | <1% | 68 | $0.08 | |
| 90700 | <1% | 26 | $0.01 | |
| 90734 | <1% | 201 | $0.01 | |
| 90633 | <1% | 237 | $0.01 | |
| 3078F | 0% | 1,488 | $0.00 | |
| 3725F | 0% | 218 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 31 | $0.00 |
| 1159F | 0% | 393 | $0.00 | |
| 1158F | 0% | 304 | $0.00 | |
| 1160F | 0% | 409 | $0.00 | |
| 4035F | 0% | 56 | $0.00 | |
| 90623 | 0% | 118 | $0.00 | |
| 3077F | 0% | 89 | $0.00 | |
| 90621 | 0% | 56 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 134 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 14 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| 90697 | 0% | 140 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 161 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 334 | $0.00 |
| 2000F | 0% | 253 | $0.00 | |
| 1170F | 0% | 231 | $0.00 | |
| 3008F | 0% | 1,055 | $0.00 | |
| 3075F | 0% | 80 | $0.00 | |
| 1125F | 0% | 116 | $0.00 | |
| 3074F | 0% | 1,741 | $0.00 | |
| 3079F | 0% | 360 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 60 | $0.00 |
| 3048F | 0% | 35 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 16 | $0.00 |
| 2001F | 0% | 141 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 1126F | 0% | 99 | $0.00 | |
| 90620 | 0% | 31 | $0.00 | |
| 90696 | 0% | 50 | $0.00 | |
| 90680 | 0% | 42 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 21 | $0.00 |
| 3017F | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPALMER MELLOWES, ORLANDO (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Hostos Medical Services INC | Mayaguez, PR | $389K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.